1978, 06-20 Permit App: M6927 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 5Q_OA.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Nater supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. in most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner (;Pn i P WIMPS Inc . Address E. 12929 Sprague Phone 928-1991
Architect Address Spokane, Washington Phone
Engineer Address Phone
Contractor Francis Madden Address E. 12929 Sprague phone 928-199j
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number. j451-11- d 9 C4' T i c
Lot 3 of Short Plat No. 78-006
County of Spokane, State of Washington
ROADWAY R/W mum SW/
3
DESCRIPTION OF WORK: New _X Addition Remodel Moving Bldg. Zone 1 Fire Zone ,
Size of Lot 741 X 149' Sewage System ST Const. Frame
(Fr., Conc., Br., etc.)
Stories 1 z Dimensions 38' X24 1 Total Sq. Ft 912 Valuation 36,950
Rooms 4 Baths 1 Basementfu 1 1 Foundation Const Concrete Chimney Fireplace
(Full, part, none-) (Kind) (Number
Heat. System EBB Type of Roofing comp. Ext. Finish wood Int. Wall Finish drywal 1
Use of Bldg. Residence No. of Units Bedrooms 2
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
SEE ATTACHED
SOUTH
I hereby certify information submitt
as shown.
GENIE HOMES INC. BY:
Owner or Agent
A LAND USE OR STRUCTURE PE
THIS IS NOT A PERMIT.
Your street address will be -757
Sewage Permit Number
Remarks
State License No.
233-01-18973
Ind. Ins. Acct. No.
189-592
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit W 4 e //c,
nr Heating Permit a
Sewage Permit %7G s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
coya g 4.4.mg,fie
here are no other struct res located on this property except
4 EWA Ali
June .20 1978
Date
M ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone
Receipt
cam/ -.7r,�
Form 523 Bldg. Code
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